. A practical treatise on medical diagnosis for students and physicians . sorption i; >the blood of pus and the toxins produced by bacteriological fever occurs in tuberculosis, especially in the stage when cavilsform and pus collects; in the puerperal state, in empyema, subphre ■abscess, abscess of the liver, or, indeed, in any form of suppurati .Here, also, there are recurring chills, with fever and sweating, but eattacks are not regularly periodical and intermittent; sometimes the feris intermittent and sometimes remittent, the chills recur at irregular int-vals, and are not so
. A practical treatise on medical diagnosis for students and physicians . sorption i; >the blood of pus and the toxins produced by bacteriological fever occurs in tuberculosis, especially in the stage when cavilsform and pus collects; in the puerperal state, in empyema, subphre ■abscess, abscess of the liver, or, indeed, in any form of suppurati .Here, also, there are recurring chills, with fever and sweating, but eattacks are not regularly periodical and intermittent; sometimes the feris intermittent and sometimes remittent, the chills recur at irregular int-vals, and are not so violent as in the malarial attack. The essential (-ference, however, lies in the fact that a local cause can be found )explain them, such as tuberculosis either of the lung or of some ot rviscus, or a collection of pus in an organ or cavity, or a fetid discha1from the womb, with local tenderness or peritonitis ; moreover, the patiftloses flesh more or less rapidly, his blood is free from malarial germspigment, and quinine does not control the fever. (Plate XVI., A form of intermittent fever from syphilis. J. D., aged twenty-six years. Secondary period,cury and potassium iodide relieved it. Observe that the pulse-frequency is not increased. It is more difficult to make a diagnosis between malaria and the iu -mittent fever of hepatic origin (described elsewhere by the author) beca,ephysical signs of any local trouble may be wanting. But the feverhepatic origin is not regularly intermittent, is not controlled by quia,but may be by measures directed to the origin of the trouble, and ja -dice may be present. Urethral fever, occurring as the result of operations upon the uretl },or simply from the passage of a catheter or bougie, may be mistaken rmalaria] fever; but the paroxysm is usually single, and the historythe operation and the absence of plasmodia from the blood clear updiagnosis. Syphilitic fever is distinguished by a tendency for the chill, fever,: PERNICIOUS MALARIA
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